NEJM:转移性肾细胞癌患者单纯或肾切除术后舒尼替尼疗效研究

2018-06-04 zhangfan MedSci原创

研究发现,对于转移性肾细胞癌患者,舒尼替尼治疗与舒尼替尼联合手术治疗对患者生存期的影响差异不显著

减瘤性肾切除是转移性肾细胞癌的标准治疗方法,临床上以使用了20年。近日研究人员考察了转移性肾癌患者仅接受靶向治疗的疗效。

在本次的III期临床中,转移性肾透明细胞癌患者接受手术联合舒尼替尼(标准治疗组)或单纯舒尼替尼治疗,患者每6周接受28天的舒尼替尼治疗,50mg每天,之后休息14天。主要终点为总生存期。

450名患者参与研究,随访50.9个月,死亡326人。总生存率方面,单纯的舒尼替尼治疗与标准治疗组差异不显著(死亡风险0.89)。舒尼替尼单药组患者的生存期为18.4个月,手术联合舒尼替尼治疗组为13.9个月。组间治疗响应与无进展生存期差异不显著。

研究发现,对于转移性肾细胞癌患者,舒尼替尼治疗与舒尼替尼联合手术治疗对患者生存期的影响差异不显著。

原始出处:

Arnaud Méjean et al. Sunitinib Alone or after Nephrectomy in Metastatic Renal-Cell Carcinoma. N Engl J Med. June 3, 2018.

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    2018-06-08 大爰

    学习了谢谢分享!!

    0

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    2018-06-04 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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